United States · Bill · S
S. 1113 (118th)
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023
Introduced
30 March 2023
Last action
30 March 2023 · Introduced
Status
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sponsors
Sen. Brown, Sherrod [D-OH], Sen. Baldwin, Tammy [D-WI], Sen. Warren, Elizabeth [D-MA], Sen. Padilla, Alex [D-CA], Sen. Stabenow, Debbie [D-MI], Sen. Markey, Edward J. [D-MA], Sen. Sanders, Bernard [I-VT], Sen. Welch, Peter [D-VT], Sen. Van Hollen, Chris [D-MD], Sen. Merkley, Jeff [D-OR]
Subjects
Healthcare, Education
Source updated
9 January 2026
Summary
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2023 This bill requires hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. The bill also requires hospitals to follow certain procedures regarding how ratios are determined, and other staff are prohibited from performing nurse functions unless specifically authorized within a state's scope of practice rules. HHS must adjust Medicare payments to hospitals to cover additional costs attributable to compliance with these ratios. Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not (1) take adverse actions against a nurse based on the nurse's reasonable refusal to accept an assignment; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS may impose civil monetary penalties on hospitals violating the ratio requirements and must publish the names of such hospitals. The bill provides stipends to the nurse workforce loan repayment and scholarship program and expands the nurse retention grant program to include nurse preceptorship and mentorship projects.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
30 March 2023
Introduced
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
30 March 2023
Introduced
Introduced in Senate
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in Senate · 30 March 2023 · Download file
Documents
3 official files
Introduced in Senate (text)
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Introduced in Senate (text)
Introduced in Senate · EN · 30 March 2023
Introduced in Senate (PDF)
Introduced in Senate · EN · 30 March 2023
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Introduced in Senate
summary · EN · 30 March 2023
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Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Sen. Brown, Sherrod [D-OH] · D · Sponsor
- Sen. Baldwin, Tammy [D-WI] · D · Sponsor
- Sen. Warren, Elizabeth [D-MA] · D · Sponsor
- Sen. Padilla, Alex [D-CA] · D · Sponsor
- Sen. Stabenow, Debbie [D-MI] · D · Sponsor
- Sen. Markey, Edward J. [D-MA] · D · Sponsor
- Sen. Sanders, Bernard [I-VT] · I · Sponsor
- Sen. Welch, Peter [D-VT] · D · Cosponsor
- Sen. Van Hollen, Chris [D-MD] · D · Cosponsor
- Sen. Merkley, Jeff [D-OR] · D · Cosponsor
- · sshr00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/senate-bill/1113
- Open data entity: https://api.congress.gov/v3/bill/118/s/1113
- us · 118-s-1113 · source updated 9 January 2026